| NPI | 1922452614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-4694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 13421134-2401) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: CA PT 21157) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2023-11-02 |